Cross-Sectional Analysis of Research and Non-Research Payments From the Medical Device Industry to Healthcare Professionals and Organisations in Japan in 2022

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-03-26 DOI:10.1111/jep.70066

Anju Murayama

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引用次数: 0

Abstract

Rationale

Financial relationships between healthcare professionals (HCPs), healthcare organisations (HCOs) and the medical device industry in Japan may lead to conflicts of interest. Limited transparency in these relationships has raised concerns regarding their potential influence on clinical decision-making and patient care.

Aims and Objectives

This study aimed to assess the scope and magnitude of financial payments from medical device companies to HCPs and HCOs in Japan, focusing on publicly disclosed data from the 2022 fiscal year.

Methods

A cross-sectional analysis of publicly available payment disclosures from 169 medical device companies, including all members of the Japan Federation of Medical Devices Associations (JFMDA) and several major non-JFMDA affiliated companies, was conducted. Descriptive statistics were calculated to summarise payment data.

Results

Of the 169 medical device companies, 32.5% (55 companies) did not disclose payment information and 6 companies disclosed payment records in aggregated amounts with their group companies, leaving 108 companies for analysis. In total, $245.2 million in payments were made in 2022, with only 23.9% ($58.7 million) to research and development. Of the total, 34.6% ($84.9 million) was allocated to non-research payments to HCOs for sponsoring HCOs’ activities, and 19.6% ($49.0 million) were paid for lecturing and consulting fees, typically to individual HCPs. More than 80% of companies allocated a greater share of payments to non-research activities than to research.

Conclusion

This study reveals substantial financial relationships between medical device companies and HCPs/HCOs in Japan, predominantly for non-research purposes. Improved transparency regulations, including a uniform, government-run database, are necessary to better oversee these financial interactions with medical device industry in Japan.

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2022年日本医疗器械行业向医疗保健专业人员和组织支付的研究和非研究费用的横断面分析

在日本，医疗保健专业人员（HCPs）、医疗保健组织（HCOs）和医疗器械行业之间的财务关系可能导致利益冲突。这些关系的有限透明度引起了人们对其对临床决策和患者护理的潜在影响的关注。本研究旨在评估日本医疗器械公司向hcp和hco支付的财务范围和规模，重点关注2022财年公开披露的数据。方法对169家医疗器械公司公开披露的付款情况进行横断面分析，包括日本医疗器械协会联合会（JFMDA）的所有成员公司和几家主要的非JFMDA附属公司。计算描述性统计以总结支付数据。结果169家医疗器械企业中，有55家（32.5%）企业未披露支付信息，6家企业向集团公司披露了累计金额的支付记录，剩下108家企业有待分析。2022年总共支付了2.452亿美元，其中只有23.9%（5870万美元）用于研发。其中34.6%（8,490万元）用作资助医疗服务提供者的非研究费用，而19.6%（4,900万元）则用作讲座及咨询费，一般是支付给个别医疗服务提供者。超过80%的公司将更多的款项分配给非研究活动，而不是研究活动。本研究揭示了日本医疗器械公司和hcp / hco之间的实质性财务关系，主要用于非研究目的。为了更好地监督这些与日本医疗器械行业的金融互动，有必要改进透明度法规，包括一个统一的、由政府运营的数据库。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.